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Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Simplified License
Instructions and Supporting Materials
Table of Contents
• Introduction
• Permit fact sheet
• Completeness Checklist
• Simplified License Plan Checklist
A. Introduction
MassDEP Permit Applications, as well as Instructions & Support Materials, are available for
download from the MassDEP Web site at http://www.mass.gov/dep/water/approvals/wwforms.htm
in two file formats: Microsoft Word™ and Adobe Acrobat PDF™. Either format allows documents
to be printed.
Instructions & Support Materials files in Microsoft Word™ format contain a series of documents
that provide guidance on how to prepare a permit application. Although we recommend that you
print out the entire package, you may choose to print specific documents by selecting the
appropriate page numbers for printing.
Permit Applications in Microsoft Word™ format must be downloaded separately. Users with
Microsoft Word™ 97 or later may complete these forms electronically.
Permitting packages in Adobe Acrobat PDF™ format combine Permit Applications and
Instructions & Support Materials in a single document. Adobe Acrobat PDF™ files may only be
viewed and printed without alteration. Permit Applications in this format may not be completed
electronically.
ww12inst.doc • 6/07 BRP WW 12 Introduction • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Waterways Simplified License
Permit Fact Sheet
1. What is the purpose of this renewal application?
A project licensed under MGL Chapter 91, the Public Waterfront Act, using the simplified license option has a
limited term of generally 10-15 years. For the authorization to continue, the Licensee, or his/her successor,
must request the simplified license be renewed.
2. Who must apply?
Anyone who obtains a Waterways simplified license under 310 CMR 9.00, must file an application to extend the
term of the license prior to the expiration of the license to maintain lawfully the structures and activities
authorized in the license. This includes anyone who obtained an Interim Approval under the amnesty
provisions pursuant to 310 CMR 9.28.
To renew a standard license, a Licensee is required to file a license amendment pursuant to 310 CMR 9.25.
3. What prerequisites should be considered before applying for this renewal request?
An existing simplified license can only be renewed if the structure remains sound and conforms to plans
attached to the original authorization. If the authorized structure or use has changed, an application for a new
Simplified License is required.
4. What concurrent actions are related to this renewal request?
At the time an application for renewal is submitted, the applicant must send a copy of the application to the
mayor or board of selectmen, planning board, and conservation commission of the city or town where the
project site is located, The Department may require additional pubic notice based on comments received about
the structure or other relevant information. If such additional pubic notice for renewal is required the public
comment period is 30 days.
5. What fees are associated with this renewal request?
There is an application fee of $30.
Chapter 91 licenses are subject to Tidewater Displacement fees, Annual Compliance fees and
Commonwealth Tidelands Occupation fees. However, Simplified Licenses are exempt from Displacement
Fees. Commonwealth Occupation fees are calculated at a rate of $1 per square yard occupied multiplied
by the license term. The applicant will be notified of the amount due following review of the renewal
request. An annual compliance fee of $80 is required for any nonwater-dependent use project.
6. To which MassDEP Office should the renewal request be sent?
Most renewal application packages are reviewed in the MassDEP in the regional office corresponding to the
project’s location. (See http://www.mass.gov/dep/about/region/findyour.htm for a listing of MassDEP’s
Regional Offices). Renewal of a simplified license for a nonwater-dependent application should be sent to
MassDEP’s Boston Office.
7. Where can I get a copy of the timelines?
The timelines are available on the MassDEP Website: www.mass.gov/dep/service/online/fees.htm
8. What is the term of the renewed Simplified Licenses?
ww12inst.doc • 06/07 BRP WW 12 Permit Fact Sheet • Page 1 of 6
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Waterways Simplified License
Permit Fact Sheet
A Simplified License may be renewed for up to 15 years in accordance with 310 CMR 9.10(5).
9. How can I avoid the most common mistakes made in applying for this renewal?
a. Submit fee and one copy of the MassDEP Transmittal Form to:
Department of Environmental Protection
P. O. Box 4062
Boston, MA 02211
b. Send a copy of the completed application and plans to the mayor/board of selectman, planning board and
conservation commission of the city or town in which the project site is located.
c. Include a copy of the plan attached to the original simplified license that is being renewed. If the plan
attached to the original simplified license is unavailable, a plan may be submitted that is drawn in
accordance with the Simplified License Plan Checklist.
10. What are the regulations that apply to this certificate? Where can I get copies?
These regulations include, but are not limited to:
a. Waterways Regulations, 310 CMR 9.00.
b. Timely Action and Fee Provisions, 310 CMR 4.00.
c. Administrative Penalty Regulations, 310 CMR 5.00.
These may be purchased at:
State House Bookstore State House West Bookstore
Room 116 436 Dwight Street
Boston, MA 02133 Springfield, MA 01103
617-727-2834 413-784-1376
ww12inst.doc • 06/07 BRP WW 12 Permit Fact Sheet • Page 2 of 6
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Waterways Simplified License
Permit Fact Sheet
Appendix A: Simplified License Plan Checklist
Enclose a copy of the plan attached to the original simplified license that is being renewed with your request. If
the plan attached to the original simplified license is unavailable, prepare drawings using the Sample Plan and
Plan Template as guides (see Appendices B and C). Note: The template in Appendix C can be printed and used
a hard-copy form. Drawings should include the following information:
Plan View
Please refer to the sample plan drawings included in the appendices.
Drawings must be prepared on the 8.5 X 11 inch paper. A 1-inch margin should be left at the top edge of
each drawing for purposes of reproduction and binding. A 1/2 inch margin is required for the three other edges.
Please use the Sample Template (Appendix C).
Each drawing submitted should include a title block that identifies the project and contains the name of the
waterway, the name of the applicant, the number of the sheet and the total number of sheets in the set, and the
date the drawing was prepared.
North Arrow
Locus Map shall depict the subject property in relation to the surrounding area. This may be prepared as
illustrated on the Sample plan, in the upper right-hand corner or the applicant may simply photocopy a street map
circle the property and label it.
Scale – All drawings shall be in a suitable scale (e.g. 1 inch = 40 feet) and the scale should be indicated on
each sheet of the plan.
Subject property – Illustrate as much of the subject property as possible, including any residence, adjacent
streets, property lines, and the tax assessor’s information (map number).
Mean high and low water lines – The mean high water (MHW) and mean low water (MLW) lines must be
clearly delineated. In inland waters, such as ponds and non-tidal rivers, the ordinary high and low water
shorelines (OHW and OLW) should be used. Color shading cannot be used because the Department reproduces
the plans. Please use dashed or dotted lines, or crosshatching where necessary. (See definitions of “High Water
Mark” and “Low Water Mark” at 310 CMR 9.02, C.91 Regulations).
Licensed activities – All structures and/or fill to be licensed must be clearly depicted, accompanied by their
dimensions. Linear distances, in feet, must be provided from the structures to each property line along the
waterway and residence.
Abutters – Abutters’ names must appear in the lower left-hand block, and the corresponding number (1, 2, or
3, etc.) should be placed on the appropriate lot location.
Title Block– Prepare the lower-middle and right-hand blocks as indicated on the Sample template.
ww12inst.doc • 06/07 BRP WW 12 Permit Fact Sheet • Page 3 of 6
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Waterways Simplified License
Permit Fact Sheet
Profile View
Profiles – Bottom and bank profiles should be delineated as accurately as possible.
Mean high water (MHW) and mean low water (MLW) lines – MHW and MLW (or ordinary high and low water
lines (OHW/OLW) must be illustrated. The elevation of MLW may be given as 0.0 ft. Elevations for MHW and all
other structures should then be given relative to MLW.
Licensed activities – All structures and/or fill to be licensed must be clearly depicted. Dimensions of piles, and
any other structures not indicated on the first sheet(s), must be provided with the Cross-section view.
Title Blocks – the lower middle and right-hand blocks shall be prepared as indicated on the Sample template
(Appendix C).
ww12inst.doc • 06/07 BRP WW 12 Permit Fact Sheet • Page 4 of 6
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Waterways Simplified License
Permit Fact Sheet
Appendix B: Simplified License – Sample Plan
ww12inst.doc • 06/07 BRP WW 12 Permit Fact Sheet • Page 5 of 6
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Waterways Simplified License
Permit Fact Sheet
Appendix B: Simplified License Plan - Template
License No.
Approved by Department of Environmental Protection
Date:
Purpose: Simplified Licensing Plan accompanying petition of: Project Description:
___________________ _________________________
Adjacent Property Owners: ___________________ _________________________
1. ____________________ ___________________ In__________ At:___________________
2._____________________ ___________________ County of: _________________________
3._____________________ ___________________ State: ____________________________
4._____________________ ___________________ By applicant_______________________
date:__________ sheet: ___ of _____
ww12inst.doc • 06/07 BRP WW 12 Permit Fact Sheet • Page 6 of 6
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways
BRP WW 12 Renewal of Simplified Waterways License
Application Completeness Checklist
Complete the MassDEP Transmittal Form. This form may be obtained from the MassDEP website
at http://www.mass.gov/dep/service/online/trasmfrm.shtml or any MassDEP regional office.
.
Complete the application form and have it signed by the applicant, the landowner (if different from the
applicant), and the authorized agent (if any).
Include a copy of the sketch plan attached to the original license or, if that is unavailable, recreate the plan in
accordance with the Simplified Plan Checklist.
Deliver a copy of the completed application form and accompanying plan to the mayor/board of selectman,
planning board and conservation commission of the city or town in which the project site is located.
Send one copy of the application form, the plan and one copy of the MassDEP Transmittal Form to
Department of Environmental Protection, Waterways Program in the regional office corresponding to the
project’s location. (See http://www.mass.gov/dep/about/region/findyour.htm for a listing of MassDEP’s
Regional Offices). Renewal of a simplified license for a nonwater-dependent application should be sent to
MassDEP’s Boston Office – Department of Environmental Protection, Waterways Regulation Program,
One Winter Street, Boston, MA 02108
Send fee of $30 in the form of check or money order made payable to Commonwealth of Massachusetts,
along with one copy of the MassDEP Transmittal Form to:
Department of Environmental Protection
P.O. Box 4062
Boston, MA 02211
Ww12ins.doc 6/07 Application Completeness Checklist • Page 1 of 1
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways program
BRP WW12 Transmittal Number
Renewal of Simplified License
A. Simplified License Being Renewed
Important:
When filling out Simplified License Number Date Issued
forms on the
computer, use
1. Has the structure changed from that previously authorized? No Yes: If yes, see note below
only the tab key
to move your
cursor - do not 2. Has the use/activity changed from that previously authorized? No Yes: If yes, see note below
use the return
key.
NOTE: An existing Simplified License can only be renewed if the structure and use/activity has
remained the same from that which was authorized. If you answered YES to Question #1 or #2, an
application for a new simplified license is required.
B. Applicant Information
Print Applicant Name
Street Address City/Town State Zip Code
Phone Number Email
Print Authorized Agent Name (if any)
Mailing Address City/Town State Zip Code
Phone Number Email
C. Existing Project/Use Information
1.
Property Owner Name (if different from applicant)
Project Site Street Address Project Site City/Town County City/Town
Tax Assessors Map and Parcel Number
Registered Land? Yes No
Name of waterbody where the project site is located
2. Abutter information
List the name & complete mailing address of each abutter (attach additional sheets if necessary). An
abutter is defined as the owner of land that shared a common boundary along the water’s edge with
the project site, as well as the owner of land that lies within 50’ across a waterbody from the project.
Name Address
Name Address
ww12app.doc • 09/06 Renewal of Simplified License • Page 1 of 2
Massachusetts Department of Environmental Protection
Bureau of Resource Protection - Waterways program
BRP WW12 Transmittal Number
Renewal of Simplified License
D. Project Plans
I have enclosed the sketch plan referenced in the simplified License for which a renewal is requested.
Yes No
I have enclosed a sketch plan drawn in accordance with the Checklist for Simplified License Plan.
Yes No
E. Certification
All applicants, property owners and authorized agents must sign this page. The authorized agent
alone may sign all future application correspondence.
“I hereby make application for a renewal of the simplified license previously issued by the
Department. The structures and use/activities have not been modified from that which was
previously authorized. Upon my signature, I agree to allow the duly authorized presentation of the
Massachusetts Department of Environmental Protection to enter upon the premises of the project
site at reasonable times for the purpose of inspection.”
“I hereby certify that the information submitted in this application is true and accurate to the best of
my knowledge.”
“I hereby certify that I have sent the required fee to MassDEP and a copy of this application to the
following officials for the municipality in which the project site is located.”
Please check: Planning Board Local Conservation Commission Board of Selectman Mayor and City Council
Applicant’s Signature Date
Property Owner’s Signature (if different from Applicant) Date
Authorized Agent’s Signature (if applicable) Date
F. Public Notice
Dear Mayor/Board of Selectman, Planning Board, and Conservation Commission:
Public notice is hereby given of the request to renew this Simplified License, under the provisions of the Public
Waterfront Act M.G.L. Chapter 91 and its regulations at 310 CMR 9.10. The plan is attached for further
information.
The Department of Environmental Protection, Waterways Regulation Program, will consider all written comments
on this simplified license renewal request received by MassDEP within 30 days of the date this request was filed
(the public comment deadline). Failure of any aggrieved person or group of ten citizens or more to submit written
comments to the Waterways Regulation Program by the Public Comments Deadline will result in the waiver of
any right to an adjudicatory hearing in accordance with 310 CMR 9.13(4)(c).
Written comments must be addressed to: Ben Lynch, Program Chief, MassDEP Waterways Regulation Program,
One Winter Street - 5th Floor, Boston, MA 02108. Additional information regarding this application may be
obtained by contacting the Waterways Regulation Program at (617) 348-4084.
ww12app.doc • 09/06 Renewal of Simplified License • Page 2 of 2
